心血管健康行为和因素对右锁骨下动脉斑块检出率的影响  

Impact of Ideal Cardiovascular Health Behaviors and Health Factors on the Detection Rate of the Right Subclavian Artery Plaques

作　　者：黄玮[1] 李雯[1] 赵剑秋[2] 吴寿岭[3] 王迈 蒋守芳[5] 刘雪梅[1] 

机构地区：[1]河北联合大学附属开滦总医院超声科 [2]河北联合大学附属开滦总医院麻醉科 [3]河北联合大学附属开滦总医院心内科 [4]开滦职业病防治院超声科 [5]河北联合大学公共卫生学院,河北省唐山市063000

出　　处：《中国动脉硬化杂志》2014年第9期954-958,共5页Chinese Journal of Arteriosclerosis

基　　金：国家科技支撑计划项目(2008BAI52B03)

摘　　要：目的探讨心血管健康行为和因素对右锁骨下动脉斑块检出率的影响。方法采用随机分层法抽取唐山开滦(集团)有限责任公司在职及离退休职工中年龄≥40岁、既往无脑卒中、短暂性脑缺血发作、心肌梗死者共5852人为调查对象,进行统一问卷调查、血液生物化学指标检测及右锁骨下动脉超声检查。采用Logistic回归分析理想心血管健康行为和因素对右锁骨下动脉斑块的影响。结果 (1)研究人群中具备<2项、2项、3项、4项、5项及>5项理想心血管健康行为和因素者右锁骨下动脉斑块的检出率分别为41.8%、35.8%、33.4%、31.4%、29.7%和25.2%。(2)与<2项理想心血管健康行为和因素的人群相比,具有2项、3项、4项、5项及>5项理想心血管健康行为和因素的人群右锁骨下动脉斑块的检出风险(OR)分别为0.78、0.70、0.64、0.59、0.47。结论理想心血管健康行为和因素的项数越多,右锁骨下动脉斑块的检出率越低。理想心血管健康行为和因素能预防右锁骨下动脉斑块的发生。Aim To explore the impact of ideal cardiovascular health behaviors and health factors on the detection rate of the right subclavian artery plaques. Methods Subject with previous stroke,transient ischemic attack（TIA）,myocardial infarction were excluded from the study. A total of 5852 employees（the retired employers from Tangshan Kailuan company） aged 40 years and over were included through stratified random sampling. Inforrmation was obtained from the unified questionnaire,measurements of blood biochemistry and right subclavian artery ultrasonography. Results（1）The right subclavian artery plaques detection rate were 41. 8%,35. 8%,33. 4%,31. 4%,29. 7% and 25. 2% in the group of with less than 2,2,3,4,5 and greater than 5 components of ideal cardiovascular health behaviors and health factors,respectively.（2）Compared to less than 2 components of ideal cardiovascular health behaviors and health factors,the detection risk（OR） values in the group with 2,3,4,5 and greater than 5 components of ideal cardiovascular health behaviors and health factors were 0. 78,0. 70,0. 64,0. 59,0. 47,respectively. Conclusions Increasing ideal cardiovascular health behaviors and factors are negatively linked with the detection rate of the right subclavian artery plaques. The ideal cardiovascular health behaviors and health factors can prevent the right subclavian artery plaques.

关 键 词：心血管健康行为和因素 右锁骨下动脉斑块 动脉粥样硬化 

分 类 号：R18[医药卫生—流行病学]